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General NPI Number Information
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NPI Number | 1053342238
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Entity Type | Organization
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Legal Business Name | OHIO VISION OF TOLEDO,INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 2740 NAVARRE AVE
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City | OREGON
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State | OH
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Zip | 43616-3216
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Country | US
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Telephone | 419-639-4444
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Fax | 419-697-2149
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Provider Business Mailing Address
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Address Line | 2740 NAVARRE AVE
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City | OREGON
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State | OH
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Zip | 43616-3216
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Country | US
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Telephone | 419-639-4444
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Fax | 419-697-2149
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. WILLIAM G. MARTIN
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Credential | M.D.
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Telephone | 419-693-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | 0066AS
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License Number State | OH
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